Custom Tools Request

Please fill out the following form to request a quote for Custom Tool development by Excelta:

After receiving your completed questionnaire and/or sketches, we will review the information and someone from our Custom Tools Department will contact you within 24 hours to acknowledge receipt and get any additional information that may be necessary.

Once it is determined that we can make your custom tool, we will assign a part number (Q #) and give you a quote on the cost and the lead time.

We require a purchase order or credit card prior to making the tool(s) for you. After the tool(s) are completed, we send them to you for approval. If any modifications are needed, we will expedite them through our system. Modifications are given priority over new applications.

Name:
Company:
Address:
City
State:
Zip:
Phone:
Fax:
Email:
Application (Please check one):
Cutting Tool Handling Tool Insertion / Extraction Tool Tweezer Lead Bending Component Forming
Other (Please Describe in Detail):

QUESTION ONE
Is the tool you require a modification of an existing Excelta tool?	Yes No Don't Know
If yes, what part number?
QUESTION TWO
What kind of tool is need for your application?	Pliers Tweezers Cutters
QUESTION THREE
What type of component is the tool being designed for?
QUESTION FOUR
Is there a type of material preferred for the tool being designed? If so please give specifications and restrictions of material?
QUESTION FIVE
If a component is being formed or cut Excelta requires a drawing or diagram specifying the dimensions before and after the application, please remember to provide as much information as possible to eliminate any errors in the process.

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